Modern ear surgery must take 2 postulates into consideration: first, the liquidation of the morbid process in the middle ear, and second, improvement of hearing when the morbid process has evidently deteriorated this. Opinions are divided as to whether both aims should be achieved in a 1-stage or in a 2-stage procedure.
The Krakow Clinic favors the opinion that tympanoplasty should be performed after curing the inflammatory process (the ear should be dry). In some cases, this object may be attained by conservative treatment. In others, a surgical procedure is necessary in order to liquidate the morbid foci. In principle, it is only after the preparation of the ear that we proceed to actual tympanoplasty.
I shall not discuss the conservative measures usually applied in the preparation of the ear for tympanoplasty; I shall only point out the procedure which we have used in a large number of cases for
MIODONSKI J. One-Stage and Two-Stage Tympanoplasty: Skin from the External Meatus Used in the Treatment of Otitis Media. Arch Otolaryngol. 1962;76(1):2–6. doi:10.1001/archotol.1962.00740050006002
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